Skip to content
Nonprofiteer
← THEDACARE MEDICAL CENTER-SHAWANO INC

Form 990 for tax year 2023

Filed by THEDACARE MEDICAL CENTER-SHAWANO INC.

Totals

Total revenue
$92,235,137
Total expenses
$80,556,218
Contributions and grants received
$164,263
Grants paid
$0
Program service revenue
not reported
Investment income
not reported
Other revenue
not reported
Total assets, end of year
not reported
Total liabilities, end of year
not reported
Net assets or fund balances, end of year
not reported
Program services expenses (Part IX)
$64,511,369
Management and general expenses
$16,044,849
Fundraising expenses
$0
Program service expenses (Part III)
$64,511,369

Program services were 80.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • Imran Andrabi MD

    President & CEO - System

    Total calculated
    $2,028,869
    From this org
    $0
    From related orgs
    $1,785,548
    Other
    $243,321
    Hours/week
    4 + 36 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,124,684 related
    Bonus
    $0 + $447,428 related
    Other
    $0 + $213,436 related
    Deferred
    $0 + $221,443 related
    Nontaxable benefits
    $0 + $21,878 related
    Filer's total
    $0 + $2,028,869 related

  • JIM KOTEK

    CHAIR/SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • KIM UNDERHILL

    VICE CHAIR, BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • ALAN LOUX

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • ANITHA RAO

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • CHUCK DALLAS

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • DAVID KOEPER MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • JOHN Ber

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • JOHN PFEIFER

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • LAURIE CARTER

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • MARY GOGGANS

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • STEVEN PRICE

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • TERRY TIMM

    PAST CHAIR, BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • TIM BERGSTROM

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 3 related

  • Brian Sterns

    Chief Digital Health Officer

    Total calculated
    $489,221
    From this org
    $0
    From related orgs
    $376,030
    Other
    $113,191
    Hours/week
    4 + 36 related

    Schedule J breakdown matched by us

    Base
    $0 + $301,872 related
    Bonus
    $0 + $70,805 related
    Other
    $0 + $3,353 related
    Deferred
    $0 + $87,376 related
    Nontaxable benefits
    $0 + $25,815 related
    Filer's total
    $0 + $489,221 related

  • Maggie Lund

    Chief Culture and Integration Officer

    Total calculated
    $733,470
    From this org
    $0
    From related orgs
    $672,124
    Other
    $61,346
    Hours/week
    4 + 36 related

    Schedule J breakdown matched by us

    Base
    $0 + $543,254 related
    Bonus
    $0 + $110,401 related
    Other
    $0 + $18,469 related
    Deferred
    $0 + $52,500 related
    Nontaxable benefits
    $0 + $8,846 related
    Filer's total
    $0 + $733,470 related

  • Mark Thompson

    Pt Yr CFO, Chief Transformational Investments/Value Integration Officer

    Total calculated
    $1,383,936
    From this org
    $0
    From related orgs
    $1,305,621
    Other
    $78,315
    Hours/week
    4 + 36 related

    Schedule J breakdown matched by us

    Base
    $0 + $884,917 related
    Bonus
    $0 + $241,697 related
    Other
    $0 + $179,007 related
    Deferred
    $0 + $52,500 related
    Nontaxable benefits
    $0 + $25,815 related
    Filer's total
    $0 + $1,383,936 related

  • PAUL VAN DEN HEUVEL

    SECRETARY, CHIEF LEGAL OFFICER

    Total calculated
    $600,096
    From this org
    $0
    From related orgs
    $544,281
    Other
    $55,815
    Hours/week
    4 + 36 related

    Schedule J breakdown matched by us

    Base
    $0 + $437,321 related
    Bonus
    $0 + $93,129 related
    Other
    $0 + $13,831 related
    Deferred
    $0 + $30,000 related
    Nontaxable benefits
    $0 + $25,815 related
    Filer's total
    $0 + $600,096 related

  • William Flett

    Chief Financial Officer

    Total calculated
    $180,467
    From this org
    $0
    From related orgs
    $153,343
    Other
    $27,124
    Hours/week
    4 + 36 related

    Schedule J breakdown matched by us

    Base
    $0 + $112,384 related
    Bonus
    $0 + $40,000 related
    Other
    $0 + $959 related
    Deferred
    $0 + $20,670 related
    Nontaxable benefits
    $0 + $6,454 related
    Filer's total
    $0 + $180,467 related

  • Thomas Arquilla

    Chief Growth Officer

    Total calculated
    $807,344
    From this org
    $0
    From related orgs
    $735,799
    Other
    $71,545
    Hours/week
    4 + 37 related

    Schedule J breakdown matched by us

    Base
    $0 + $496,464 related
    Bonus
    $0 + $125,813 related
    Other
    $0 + $113,522 related
    Deferred
    $0 + $52,500 related
    Nontaxable benefits
    $0 + $19,045 related
    Filer's total
    $0 + $807,344 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
THE PRESIDENT & CEO OF THE ORGANIZATION IS COMPENSATED BY A RELATED ORGANIZATION. THE RELATED ORGANIZATION USES THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE PRESIDENT: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
SENIOR LEVEL EXECUTIVES OF THE COMPANY ARE ENTITLED TO AN ANNUAL FLEXIBLE BENEFIT EQUAL TO 20% OF THE MIDPOINT OF THEIR SALARY RANGE. THIS 457(F) SUPPLEMENTAL BENEFIT PLAN COMPLIES WITH THE FINAL REGULATIONS UNDER SECTION 409(A) AND 457(F) OF THE INTERNAL REVENUE CODE. PARTICIPANTS MAY ELECT THE BENEFIT TO BE USED TO PURCHASE PARTICULAR INSURANCE BENEFITS, INVEST IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN, OR A COMBINATION OF THE TWO. BENEFITS ARE ACCRUED ON A MONTHLY BASIS AND ARE SUBJECT TO THE SUBSTANTIAL RISK OF FORFEITURE AGREEMENT SIGNED BY THE PARTICIPANTS. PLAN CONTRIBUTIONS ARE MADE ON A QUARTERLY BASIS. DURING THE YEAR, THE FOLLOWING INDIVIDUALS PARTICIPATED IN AND RECEIVED PAYMENT FROM THE PLAN: Imran Andrabi, MD $202,570 Mark Thompson $162,970 Thomas Arquilla $97,329 DURING THE YEAR, THE FOLLOWING INDIVIDUALS ACCRUED AN AMOUNT FROM THE PLAN, WHICH IS INCLUDED IN DEFERRED COMPENSATION: IMRAN ANDRABI, MD $175,103 Brian Sterns $34,876 William Flett $12,775
Schedule J, Part I, Line 7 Non-fixed payments
EXECUTIVE AT RISK COMPENSATION PLAN: THE PLAN OBJECTIVES ARE TO ENHANCE THEDACARE INC'S ABILITY TO ACHIEVE ITS GOALS BY PROVIDING A TOOL FOR STIMULATING AND REWARDING SUPERIOR LEVELS OF PERFORMANCE AMONG LEADERS AND TO WORK TOGETHER AS A COHESIVE GROUP TOWARD COMMON GOALS. LEADERS FROM MANAGER LEVEL TO THE PRESIDENT AND CEO ARE ELIGIBLE TO PARTICIPATE IN THIS PLAN. THE PERCENTAGE FOR WHICH AN INDIVIDUAL IS ELIGIBLE IS DETERMINED BY THE PARAMETERS LISTED FOR THE LEADERSHIP POSITION AND IN THE PLAN DOCUMENT ON FILE. LEADERS MAKE RECOMMENDATIONS FOR THEIR MANAGEMENT LEVEL DIRECT REPORTS TO THEIR EXECUTIVE LEADER BASED ON PERFORMANCE RESULTS. THE PRESIDENT AND CEO ALSO REVIEWS AND APPROVES. FOR SENIOR VICE PRESIDENTS, THE EXECUTIVE LEADERSHIP TEAM, AND THE PRESIDENT AND CEO, THE RECOMMENDATIONS ARE REVIEWED AND APPROVED BY THE HUMAN RESOURCES AND GOVERNANCE COMMITTEE OF THE BOARD AND THE EXECUTIVE COMMITTEE OF THE BOARD. THESE COMMITTEES ALSO REVIEW THE TOTAL SPEND FOR THE INCENTIVE PLANS. THESE LEADERS MUST BE IN ACTIVE REGULAR SERVICE OF THEDACARE INC. FOR THE ENTIRE PLAN YEAR (JANUARY 1, 2023, TO DECEMBER 31, 2023) TO RECEIVE A 2024 BONUS. CARING FOR SUCCESS: THE PLAN OBJECTIVES ARE TO PROVIDE INCENTIVE TO FOCUS THE ORGANIZATION'S RESOURCES, ENERGY AND ATTENTION ON THE FULFILLMENT OF THEDACARE'S MISSION. EMPLOYEE ELIGIBILITY IS BASED ON THE NUMBER OF HOURS WORKED. ALL ELIGIBLE EMPLOYEES SHARE IN THE PAYOUT. THE PAYOUT AMOUNT IS A FLAT DOLLAR AMOUNT, DETERMINED BASED ON BOTH FINANCIAL AND QUALITY THRESHOLDS. THE AMOUNT PER EMPLOYEE IS DETERMINED BY DIVIDING THE TOTAL GAIN REALIZED (THE EMPLOYEE SHARE) BY HOURS PAID TO ALL ELIGIBLE EMPLOYEES. THE THEDACARE BOARD OF TRUSTEES APPROVES THE SPEND FOR THE PLAN.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Provenance

Return type
form_990
Tax year
2023
Filed
13 November 2024
IRS schema version
2023v5.1
Source object
202443189349309364

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.